Individual
MR. JIMMIE WILSON HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
MHL-069-006
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-069-006
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MH069-006
NC
385H00000X
Respite Care
MHL-069-006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409210
—
NC
Enumeration date
05/17/2007
Last updated
09/11/2025
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